Beliefs relating to recurrence of heterotopic ossification following excision in patients with spinal cord injury: a review
| العنوان: | Beliefs relating to recurrence of heterotopic ossification following excision in patients with spinal cord injury: a review |
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| المؤلفون: | François Genêt, Waleed Almangour, A. Ruet, P Denormandie, Alexis Schnitzler, L. Gatin |
| المصدر: | Spinal Cord. 53:340-344 |
| بيانات النشر: | Springer Science and Business Media LLC, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | medicine.medical_specialty, Time Factors, business.industry, Ossification, Ossification, Heterotopic, General Medicine, medicine.disease, Databases, Bibliographic, Neurosurgical Procedures, Surgery, Postoperative Complications, Neurology, Recurrence, Physical therapy, Humans, Medicine, Heterotopic ossification, In patient, Neurology (clinical), medicine.symptom, business, Spinal cord injury, Spinal Cord Injuries |
| الوصف: | Review of the literature.It is widely believed that the timing of surgery and the size of the initial Neurological Heterotopic Ossification (NHO) affect the recurrence risk of NHO after SCI. A large number of studies were published in the 80s and the 90s, mostly of poor quality despite the fact that they were carried out by experienced surgical teams. The aim of this study was to suggest recommendations relating to the timing of excision of heterotopic ossification after SCI following the analysis of a recent review of the literature.France.A systematic literature search was performed in the PubMed Embase from January 2002 until June 2014 using the MESH headings 'spinal cord injury', 'paraplegia', 'heterotopic ossification' and 'surgery'. Results were compared with results from epidemiological studies based on the BANKHO database (patients who underwent surgery for troublesome HO after central neurological system (CNS) lesions in our center (357 patients, 539 surgeries)).Few studies were found in the literature, results were sometimes contradictory and practices heterogeneous. Results from the BANKHO database showed that troublesome recurrence of NHO was not associated with 'early' surgery (before 6 months), and no association was found between recurrence and the size of the NHO around the joint (Brooker status).We suggest that surgical excision of the NHO should be carried out when it begins to be troublesome, as soon as comorbid factors are under control and the HO is sufficiently constituted for excision. |
| تدمد: | 1476-5624 1362-4393 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9fc9329a6b9c48eace7168866b42784fTest https://doi.org/10.1038/sc.2015.20Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....9fc9329a6b9c48eace7168866b42784f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14765624 13624393 |
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